1. I, Engr _________________________________________________________am
owner/shareholder/partner of firm namely M/s. ______________ ________
_______ ____ registered as Consulting Engineering firm with PEC as
Consult/_______________, and valid up to 31st December, __________________.
2. I solemnly declare that following engineers are employed with my firm. Evidence of the
employment can be provided, when required by PEC:
Signature: _________________________________
Name of Engr_______________________________
Phone No__________________________________
Date: _____________________________________